318 aquatic Dr 2015 - Doors CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j X ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-305
Job Type: WINDOW AND/OR DOOR
Description: 2 exterior doors
Estimated Value: $600.00
Issue Date: 2/20/2015
Expiration Date: 8/19/2015
PROPERTY ADDRESS:
Address: 318 AQUATIC DR
RE Number: 171818-5106
PROPERTY OWNER:
Name: WIGMORE, CHRISTINA M
Address: 318 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: BUTTERFIELD REMODELING LLC
Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING ONLY
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $27.50
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rssi,Ir,+ City of Atlantic Beach APPLICATION NUMBER
j' Building Department (To be assigned by the Building De artment.)
` 800 Seminole Road J1W — 0�
Atlantic Beach, Florida 32233-5445 W
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.usDate routed: 2_110
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Ad ��U /� Q� C L De artment review required Yes o
Buildin
Applicant: Q � anning &Zoning
Tree Administrator
Project: i-Afiet Q)�- OQ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
GG�
PLANNING&ZONING Reviewed by: / / Date:J2 /a-0?0/
TREE ADMIN.
i Second Review: ❑Approved as revised. ❑Deni
PUBLIC WORKS Comments:
{
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
i
Revised 07/27/70
i
t.,Y��•.:.m..a^=ams«...x. .._ _�..�... -.'"l*R^"M.,.
UITY OF ATLANTIC BEACH k
800 Seminole Road,Atlantic Beach, Fl, 32233 FILE
Office (904)247-5826 Fax (904)247-5845
Job Address: 318 AQUATIC DR. ATLANTIC BEACH, FL. 32233 Permit Number: 5or
Legal Description 38-71 38-2S-29E TIC s'ARDENS Parcel# 171818-5106
--� oor Area o Sq.'t. q'F t
Valuation of Wort:S 600.00 Proposed Work heated/cooled 896 non-heatedlcooled 388
Class of Work(circle one): New Addition Alteration Re air Move Demolition pool/spa window/door
Use of existing/proposed structure(s)((circle one): Commercial e�es
a
If an existing structure,is afire sprinkler system installed?(Circle one): No N/A
Florida Product Aproval 4 12769A / 14111.2
For multiple prosucts use proTuCt approva or`m
Describe in detail the type of work to be performed:—Y REPLACE TWO EXTERIOR
DOORS.Property Owner Information:
Name; JASON YOUNG Address: 318 AQUATIC DR.
City ATLANTIC BEACH State ELZip 32233 ,Phone_�n7-F3 0-7A52
E-Mail or Fax#(Optional)_--
Contractor
Optional) —_Contractor Information:
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD
Address:4220 PLANTATION QAKS_.KL #1516 City-ORANGE PARK _State Fi Zip 32065
Office Phone 204-333-84n9 Job Site/Contact Number_gp4-333-8409 Fax#t
State Certification/Registration# NSS-14
Architect Name&Phone#
Engineer's Name&Phone# -
Fee Simple Title Holder Name and Address
Bonding Company Name and Address OLD REPUBLIC SURETY CO. PO BOX 1635 MIL WAI IKEE,WI. 53201 _
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
LV.VfanCe of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void rf work is not commenced within six(6)months,or if construction or work is suspended a abandoned for Owl
period of six(0)months at any time after
work is commenced. I understand that separate permits must be secured for F.'lectricnl work,Plumbing,Signs, Wells,Pools,Furnaces,Bollers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
there certify that 1 have read and examined this application and knm w same to be true and correct. .411 provisions of laws and ordinances governing this
type ofYwork.will be comp
r ilied wi h whether sped to herein or not. he granting of a permit does not presume to give authority to violate or cancel the
provons of any other federal,st te,or local law re lating consir etion or the performance of construction.
Signature of Owner __ _ Signature of Contractor
Print Name JASON YOUNG Print Name CLINT BUTTERFIELD
Sworn to and subscribed before me Sworn to and subscri ed before me
this`*' Day of 2015, this Day of 20 1 5
Notary Ublic Notary Pu tc
Revised 01.26.10
LUCY W.MCCOOK
Commission#EE 183090 °ia'; CAROL JEAN HUGHES
= t� Expires July 24,2016 `zs Commission#FF 171959
:*. R
'` Expires December 3,2018
f�ryM Ttxu Trey Fan tnwrtrte£1k1�?35 70iL �''' p�= P
'%,F or F�°�` Bonded Thru Troy Fein Insurance 800-385.7079 ,
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